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Firearm Safety Education In Vermont, Julia Bernier, Rebecca Cole, Ella Kenney, Christina Kirk, Mary Val Palumbo Jan 2023

Firearm Safety Education In Vermont, Julia Bernier, Rebecca Cole, Ella Kenney, Christina Kirk, Mary Val Palumbo

UVM AHEC

INTRODUCTION

Each year in Vermont, approximately 75 people die from gunshot wounds and 65 are injured. The majority of these deaths are suicides, while the majority of injuries are caused by unintentional discharges (VDOH 2021).

METHODS

A provider survey was pilot tested and sent to 25 providers for assessing their firearm safety discussions with patients and the need for a patient information pamphlet. Informed by that survey and literature/web search, a pamphlet directed at patients was drafted and reviewed. It details safe storage practices, recent Vermont legislation, tips to discuss firearm safety with loved ones, relevance of mental …


Suicide Screening At Tchc, William J. Yakubik Iii Jan 2023

Suicide Screening At Tchc, William J. Yakubik Iii

Family Medicine Clerkship Student Projects

Vermont is currently battling with a mental health epidemic and one of the consequences of mental illness is suicide and self-harm. According to the Vermont Department of Health Vermont’s suicide rate is higher than the national average and suicide is the 8th leading cause of death in the state. Every part of medicine especially primary care is struggling with providing adequate resources for the demand needed to provide quality mental health care. Thomas Chittenden Health Center (TCHC) is no stranger to these demands and is working on ways to ensure each patient has access to the care they need. The …


Caring For Patients At Risk Of Suicide In Vermont, Lindsay R. Aldrich Jan 2023

Caring For Patients At Risk Of Suicide In Vermont, Lindsay R. Aldrich

Family Medicine Clerkship Student Projects

Suicide is the 9th leading cause of death in Vermont among all age groups. 34% of people who died by suicide had a primary care visit for their mental health within the last year. As a response to this statewide issue, I assisted Richmond Family Medicine’s application for this year’s Suicide-Safer Care Mini-Grant.


Suicide And Non-Suicidal Self-Injury Among Vermont High School Students: An Analysis Of Associated Health-Behavior Variables, Douglas Michael Lebo, Catherine Markesich, Ida Sargent, Mika Smith, Mariana Wingood, Heidi Hales Jan 2021

Suicide And Non-Suicidal Self-Injury Among Vermont High School Students: An Analysis Of Associated Health-Behavior Variables, Douglas Michael Lebo, Catherine Markesich, Ida Sargent, Mika Smith, Mariana Wingood, Heidi Hales

Master of Public Health Culminating Projects

Objectives: To determine the prevalence of suicidal ideation (SI) and non-suicidal self-injury (NSSI) among Vermont high schoolers and examine their relationship with health-behavior and demographic variables.

Methods: We used responses to the 2019 Centers for Disease Control and Prevention Youth Risk Behavior Surveillance survey from Vermont high schoolers (n = 18 613) to perform bivariate logistic regression analyses of variables thought to predict SI and NSSI.

Results: In 2019, 14.8% of Vermont high schoolers reported SI in the past year, and 18.9% reported NSSI. Lower grade level, LGBT identity, self-perception as over- or underweight, being bullied, alcohol use, smoking, and …


Associations Between Demographic Factors And Suicide Deaths In Vermont: 2015-2019, Isabelle Tomanelli, Lucy Lincoln, Stephanie Stead, Mary Ryan-Eldred, Nick Martin, Sarah Vose Jan 2021

Associations Between Demographic Factors And Suicide Deaths In Vermont: 2015-2019, Isabelle Tomanelli, Lucy Lincoln, Stephanie Stead, Mary Ryan-Eldred, Nick Martin, Sarah Vose

Master of Public Health Culminating Projects

Objectives. To quantify the complex relationships shared between numerous risk factors associated with suicide among Vermont decedents.

Methods. Vermont Electronic Death Registration System (EDRS) data from 2015-2019 were examined through binary logistic regression analyses to examine demographic variables’ ability to predict death by suicide.

Results. In the analysis of 26,738 deaths, significant predictors of suicide among the 535 suicide decedents included rurality (odds ratio [OR] = 1.043; 95% CI = 1.016, 1.071; P = 0.002), divorce (OR = 1.785; 95% CI = 1,396, 2.281; P < 0.001), and higher educational attainment including associate degree (OR = 1.472; 95% CI = 1.033, 2.098; P = 0.032), bachelor’s degree (OR = 1.686; 95% CI = 1.266, 2.247; P < 0.001), master’s degree (OR = 1.812; 95% CI = 1.162, 2.826; P …


The Use Of Technology For Mental Wellbeing In The Era Of Covid-19, Adam Fakhri Jan 2021

The Use Of Technology For Mental Wellbeing In The Era Of Covid-19, Adam Fakhri

Family Medicine Clerkship Student Projects

Prevalence of mental health issues has increased during the time of COVID-19. There are many contributing factors to consider, the main one reported has been social isolation due to quarantine precautions. Members of the community have spent extended periods of time at home and away from their loved ones during this pandemic. Many patients have reported many life events occurring including deaths in the family without the ability to even mourn with their family members. This has taken a toll on the community, especially in Vergennes where this small tight knit community that has relied on its tight social bonds …


Falling Through The Digital Cracks: An Ehr-Focused Approach To Promote Social History And Mental Health In The Outpatient Setting, Daniel De Los Santos Jan 2019

Falling Through The Digital Cracks: An Ehr-Focused Approach To Promote Social History And Mental Health In The Outpatient Setting, Daniel De Los Santos

Family Medicine Clerkship Student Projects

Although they may not call prevention centers, people considering suicide usually do seek help; for example, 64% of people who attempt suicide visit a doctor in the month before their attempt, and 38% in the week before. Given the recent suicide of a father in Newtown, CT whose daughter was killed in the Sandy Hook Massacre, it needs to be asked if his suicide could have been prevented by having his physician discuss his mental health with him at his most recent check-up. Of equal importance, it must be asked if there are flaws within the EHR platform that make …


Association Between Sexual Assault And Sexual Minority As Risk Factors For Suicidality Among Vermont Youth, Katherine Mariani, Heidi Gortakowski, Thomas Delaney Jan 2017

Association Between Sexual Assault And Sexual Minority As Risk Factors For Suicidality Among Vermont Youth, Katherine Mariani, Heidi Gortakowski, Thomas Delaney

Master of Public Health Culminating Projects

Purpose: Sexual assault and sexual minority are known risk factors for suicidality in adolescents. This study identifies the association between sexual assault and sexual orientation in order to better predict and direct resources to teens at high-risk for suicide.

Methods: This is a cross-sectional study utilizing the Vermont Youth Risk Behavior Survey data from 2015. Logistic regression was used to correlate risk based on sexual assault and sexual orientation.

Results: 34.9% who were sexually assaulted attempted suicide compared to 4.0% of students who were not assaulted. 21.3% of LGB or unsure students attempted compared to 3.9% of straight youth. …


A Multi-System Approach To Help Prevent Teen Suicide In The Upper Valley: A Focus On The Lgbtq Community, Charlotte V. Hastings Jan 2016

A Multi-System Approach To Help Prevent Teen Suicide In The Upper Valley: A Focus On The Lgbtq Community, Charlotte V. Hastings

Family Medicine Clerkship Student Projects

LGBTQ adolescents are at much greater risk of committing suicide as compared to their straight and cisgender peers. This project focused on connecting various community organizations working on teen suicide and compiling a list of resources so that primary care providers might play a more pivotal role in providing mental health support to the Upper Valley’s LGBTQ teens.